Paraneoplastic disorders of the memory and cognition: clinical aspects and therapeutic approaches

Author(s):  
Josep Dalmau
2015 ◽  
Vol 88 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Madalina Bota ◽  
Gheorghe Popa ◽  
Cristina Blag ◽  
Alexandru Tataru

Infantile hemangiomas as frequent infancy tumors have been a controversial issue of medical scientists worldwide. Their clinical aspects are various and their physiopathology is yet to be fully understood. Numerous publications outline the characteristics, causes, evolution possibilities and therapeutic approaches. Deciding whether to treat or not is the main question of this kind of pathology. Hemangiomas that have complications or can cause irreversible damage need therapy. This is a brief review of up-to-date information regarding the presentation of infantile hemangiomas and target-therapies.


1993 ◽  
Vol 18 (1) ◽  
pp. 123-134 ◽  
Author(s):  
Oliver Chazouillères ◽  
Yvon Calmus ◽  
Michael Vaubourdolle ◽  
François Ballet

2020 ◽  
Vol 13 ◽  
pp. 175628482093173 ◽  
Author(s):  
Paulo Gustavo Kotze ◽  
Flavio Steinwurz ◽  
Carlos Francisconi ◽  
Cyrla Zaltman ◽  
Marcia Pinheiro ◽  
...  

The incidence and prevalence of ulcerative colitis (UC) has been reported to be rising in newly industrialised regions, such as Latin America. Here, we review data from published studies reporting demographics and clinical aspects of UC in Latin America to further understand epidemiology and disease burden. The incidence and prevalence of UC in Latin America varied between regions and studies, ranging between 0.04 to 8.00/100,000 and 0.23 to 76.1/100,000, respectively, and generally increased over the period from 1986 to 2015. The majority of patients with UC were female (53.6–72.6%) and urban residents (77.8–97.4%). Extraintestinal manifestations were reported in approximately 26–89.4% of patients. Use of biologic therapies was generally low (0.8–16.2%), with the exception of Mato Grosso do Sul, Brazil, with a greater proportion of patients tending to receive 5-aminosalicylates, immunosuppressants or corticosteroids; colectomy rates varied between studies (1.5–22%). A high proportion of patients had moderate to severe UC (45.9–73.0%) and, in 11 of 19 studies, the greatest proportion of patients had extensive disease (pancolitis). Colorectal cancer (0–1.7%) and mortality rates (0–7.6%) were low. This evaluation of published studies may influence therapeutic approaches and the development of strategies to improve healthcare access and patient outcomes, although further high-quality studies are required in patients with UC in Latin America.


2021 ◽  
Vol 61 (1) ◽  
pp. 113-134 ◽  
Author(s):  
Sarah Waliany ◽  
Daniel Lee ◽  
Ronald M. Witteles ◽  
Joel W. Neal ◽  
Patricia Nguyen ◽  
...  

Immune checkpoint inhibitors (ICIs) attenuate mechanisms of self-tolerance in the immune system, enabling T cell responses to cancerous tissues and revolutionizing care for cancer patients. However, by loweringbarriers against self-reactivity, ICIs often result in varying degrees of autoimmunity. Cardiovascular complications, particularly myocarditis but also arrhythmias, pericarditis, and vasculitis, have emerged as significant complications associated with ICIs. In this review, we examine the clinical aspects and basic science principles that underlie ICI-associated myocarditis and other cardiovascular toxicities. In addition, we discuss current therapeutic approaches. We believe a better mechanistic understanding of ICI-associated toxicities can lead to improved patient outcomes by reducing treatment-related morbidity.


2004 ◽  
Vol 24 (3) ◽  
pp. 269-286 ◽  
Author(s):  
Noel M Delos Santos ◽  
Robert J Wyatt

Author(s):  
Diego De Leo ◽  
Brian Draper ◽  
Karolina Krysinska

Despite the general decline in the number of suicides in the world, suicide rates among older adults remain the highest in most countries. Unfortunately, suicide in late life also remains a somewhat neglected topic, and ageistic visions of age-related problems often make suicidal behaviour a justifiable choice. This chapter examines the most important clinical aspects of suicidal behaviours among older adults, offering an overview of the many risk factors: from the role of depression and other mental disorders to the frequent physical diseases that accumulate at advanced age, plus a number of conditions typical of old age such as retirement or relocation to a nursing home. Main therapeutic approaches and elements of prevention at various levels (universal, selective, indicated) are also presented and discussed.


2021 ◽  
Author(s):  
Ane Karoline Medina Néri ◽  
Danielli Oliveira da Costa Lino ◽  
Sara da Silva Veras ◽  
Ricardo Pereira Silva ◽  
Geraldo Bezerra da Silva Júnior

Cardiac cysticercosis is a rare infection and its diagnosis is usually incidental, as most patients are asymptomatic. Laboratory and imaging tests, such as echocardiogram and cardiac nuclear magnetic resonance, can also be used in the diagnostic approach. The clinical manifestations are broad and patients can present with symptoms that range from heart failure to arrhythmias. Treatment of this condition has been scarcely studied and no protocols have been well established to date. One can choose not to treat the asymptomatic cases or to use cestocides, in the case of symptomatic individuals. Patient monitoring through cardiac enzymes and electrocardiogram during treatment is recommended, as well as performing imaging tests after treatment. This chapter aims to discuss cardiac cysticercosis, divided into sessions that will cover everything from its epidemiology and clinical aspects to diagnostic methods, therapeutics and treatment monitoring, with emphasis on the most current aspects.


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